36D1046736 CLIA NUMBER - COMPREHENSIVE PAIN CARE CENTER INC

Laboratory Demographics

  • CLIA Code: 36D1046736
  • Facility Name: COMPREHENSIVE PAIN CARE CENTER INC
  • Facility Address: 4804 LEAVITT ROAD
    LORAIN, OH
    ZIP 44053
  • Facility Phone: 440 989-2066
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BHARAT SHAH
  • NPI Number: 1124095112
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 36D1046736
LAB Type Physician Office
Facility Name COMPREHENSIVE PAIN CARE CENTER INC
Street 4804 LEAVITT ROAD
City LORAIN
State OH
ZIP 44053
Phone 440 989-2066
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2025
Certificate Expiration Date 10/17/2027
Facility Type Physician Office
Lab Director BHARAT SHAH

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This page was last updated on: 9/29/2025